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Robot-assisted TME was performed using a robotic surgical system (DaVinci). Postoperative complications, overall survival (OS) and disease-free survival (DFS) were investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median length of esophageal invasion was 3\u00a0cm. Adenocarcinoma was the most common tumor in our series (71.1%). A robotic approach was used for 25 (65.8%) patients. The most frequent major complication was pneumonia (\u2265\u2009Grade I,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912, 31.6%), followed by recurrent laryngeal nerve palsy (\u2265\u2009Grade I,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096, 15.8%). The incidence of anastomotic leakage (\u2265\u2009Grade II) was 5.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092). The 30-day mortality rate was 0%. The 3-year OS and DFS rates were 67.5 and 51.8%, respectively. The distribution of pathological LN metastases did not significantly demarcate OS curves (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.43), while significantly stratifying DFS curves (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients with both mediastinal and abdominal LN metastases had very poor DFS (2-year DFS; 0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TME for EGJC can be performed safely without increasing complications such as severe anastomotic leakage and in-hospital death. The relatively high frequency of pneumonia should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10147-026-03068-1","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T17:05:12Z","timestamp":1779901512000},"page":"1587-1596","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of transmediastinal esophagectomy for patients with esophagogastric junction cancers"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3272-1748","authenticated-orcid":false,"given":"Kotaro","family":"Sugawara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Yagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoh","family":"Yajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Miwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichiro","family":"Oya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asami","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruki","family":"Kojima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raito","family":"Asaoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshifumi","family":"Baba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"issue":"10466","key":"3068_CR1","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.1016\/s0140-6736(24)02226-8","volume":"404","author":"H Yang","year":"2024","unstructured":"Yang H, Wang F, Hallemeier CL, Lerut T, Fu J (2024) Oesophageal cancer. 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